Jennifer Kubin, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Baldwin City, KS
NPI 1962196360 · NPPES record last updated Feb 20, 2024
Key facts
- NPI
- 1962196360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 82294 (KS)
- Practice address
- 1035 Ames St
Baldwin City, KS 66006-3072 - Phone
- (785) 347-8921
- Fax
- (785) 576-2583
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
715 High St
Suite B
Baldwin City, KS 66006-3015
Phone (785) 347-8921
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807001344 | KS | Practitioner - Nurse Practitioner | 3375904618 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82294 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jenniferkubinnp | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
1035 Ames St
Baldwin City, KS 66006
Phone (785) 347-8921
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 82294 | KS | Yes |
Addresses
Primary practice location
1035 Ames St
Baldwin City, KS 66006-3072
Mailing address
1035 Ames St
Baldwin City, KS 66006-3072
Phone (785) 347-8921
Other providers in Baldwin City, KS
- Denallia Keller
- Margaret Elizabeth Keller
- Haley M Kellum
- Kaci Renee Kesinger
- Patricia Kilkenny
- Lawrence Memorial Hospital
- Lawrence Physicians LLC
- Lawrence Physicians LLC
- Christopher Leatherman
- Life Health, Inc
All providers in Baldwin City, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.